| F.a.i.t.h. | |
|
165 Alligator Bay Sneads Ferry NC 28460-8503 | |
| (615) 294-1221 | |
| Not Available |
| Full Name | F.a.i.t.h. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 165 Alligator Bay, Sneads Ferry, North Carolina |
| Authorized Official Name and Position | Doemiko Flores (OWNER) |
| Authorized Official Contact | 6152941221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| F.a.i.t.h. 165 Alligator Bay Sneads Ferry NC 28460-8503 Ph: () - | F.a.i.t.h. 165 Alligator Bay Sneads Ferry NC 28460-8503 Ph: (615) 294-1221 |
| NPI Number | 1265878011 |
|---|---|
| Provider Enumeration Date | 05/21/2013 |
| Last Update Date | 05/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265878011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-07-3519 (Florida) | Primary |
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